DR. DAN KELLY EIDMAN (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1649270059
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
Provider Addresses for DR. DAN KELLY EIDMAN (M.D.)
4200 TWELVE OAKS DR.,
HOUSTON, TX 77027
Phone: (713) 980-7900
Fax: (713) 600-1788
Type: Mailing
O'Quinn Medical Tower, 6624, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770302393
Phone: (713) 796-8595
Fax: (713) 796-0813
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: PFIZER INC. ($122).
Total Amount
$272
General + Research + Ownership
Payments
8
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $122 |
| UCB, Inc. | $40 |
| SK Life Science, Inc. | $30 |
| ACADIA Pharmaceuticals Inc | $25 |
| Otsuka America Pharmaceutical, Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120810000346 | I | Orthopedic Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 212 | 39 | $0 |
Insurance plans in this area (ZIP 77027)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 42 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine | NY | |
| Internal Medicine | TX | |
| Family Practice, Emergency Medicine | TX | |
| Nephrology, Hospitalist | TX | |
| Orthopedic Surgery, Sports Medicine | TX | |
| Internal Medicine, Emergency Medicine | TX | |
| Physical Medicine And Rehabilitation | TX |
Reviews
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